Individual provider Active NPI

Ian Jeffrey Slagle, DC

  • Chiropractor
  • Marshalltown, IA
National Provider Identifier
1396458618
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
117102 Issued in IA
Practice address
2501 S Center St Ste E
Marshalltown, IA 50158-4545
Phone
(641) 752-3112
NPI assigned
Jan 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 117102 IA Primary

Addresses

Primary practice location

2501 S Center St Ste E
Marshalltown, IA 50158-4545

Mailing address

1307 Seymour St
Tama, IA 52339-1031
Phone (641) 751-7459

Other identifiers 1

IdentifierTypeStateIssuer
117102OtherIALICENSE

Other names 1

  • Mr. Ian Jeffrey Slagle Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dfc@marshallnet.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230131002084 IA Practitioner - Chiropractic 7810367893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fritz Chiropractic DC PCGroup PAC ID 6800878257, 2 clinicians

Practice addresses (Care Compare)

2501 S Ctr St
Suite E
Marshalltown, IA 50158-4545
Phone (641) 752-3112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1396458618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 SEYMOUR ST",
            "city": "TAMA",
            "state": "IA",
            "postal_code": "523391031",
            "telephone_number": "641-751-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S CENTER ST STE E",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584545",
            "telephone_number": "641-752-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGLE",
        "first_name": "IAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "117102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "117102",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfc@marshallnet.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2501 S Center St Ste E",
            "city": "Marshalltown",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501584545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "IAN",
            "last_name": "SLAGLE",
            "middle_name": "JEFFREY",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.